Healthcare Reform’s Impact: Staff and Service Cuts Expected

The newest HealthLeaders Media Intelligence Report, Reform’s Impact: Staff and Service Cuts Expected, reveals that only 40% of healthcare senior executives who completed the survey believe the Patient Protection and Affordable Care Act will result in better access to healthcare services, despite the fact that many pundits insists that access will be the only element of healthcare that PPACA will improve. Fully 72% believe the law will lead to increased utilization of health services.

The 2011 Reform Readiness Survey was conducted by the HealthLeaders Media Intelligence Unit, powered by the HealthLeaders Media Council. It is part of a monthly series of Thought Leadership studies. In September 2011, an online survey was sent to the HealthLeaders Media Council. Respondents work in hospital, health system, physician organization, health plan/insurer, long-term care, ancillary, and allied providers settings. A total of 264 completed surveys are included in the analysis.

The survey results reflect on the respondents heavy dependence on inpatient care and reimbursement at their hospitals or health systems that are expected to decrease, while outpatient care will increase as more previously uninsured move towards accessing care in locations other than the ER.

Marty Manning, president of Advocate Physician Partners, Chicago and lead report advisor stated, “the real fear is that you have reductions in utilization and unit price at the same time. That’s the double whammy that could really make it unsustainable for us as a provider organizations. So we are very much looking at ACO models as the way to get back some of the savings that would otherwise taken out of utilization.”

Despite healthcare providers seeking ways to take advantage of the new model by becoming early adopters, 32 percent of respondents feel the ACO concept, regardless of model will fail, while another 36 percent believe a commercial model, either current or developed in the future will succeed.

Marty also stated, “the law is very heavily consumer-focused, and there is virtually nothing in it about benefit design change or patient responsibility because that’s the political third rail. That’s really the missing piece. And it’s still basically an open checkbook to get whatever service you want on demand wherever you want it.”